Title
Gezondheidsvoorlichting en bewegingsstimulering voor ouderen: Ontwikkeling en evaluatie van het programma "Gezond & Vitaal" [Health education and exercise stimulation for older people: Development and evaluation of "Healthy & Vital"]
Author
Hopman-Rock, M.
Westhoff, M.H.
Publication year
2002
Abstract
In order to promote health in people of 65 years and older, TNO Prevention and Health developed, evaluated, and implemented "Healthy & Vital" (also known as "Ageing Well and Healthily"). Healthy & Vital consists of six sessions of health education and low-intensity exercises. This paper reports on the theoretical basis of the intervention, the methods and results of a Randomised Controlled Trial (n=50), and a Community Intervention Trial (in 8 municipalities, n=448). A brief report is given of the implementation study. Healthy & Vital had a number of positive physiological effects, such as a decrease in blood pressure (effect size -0.55), the Body Mass Index (effect 0.62), and the level of blood glucose (1.00), especially in women and in elderly people who are less active physically. Participants' understanding of health and illness increased significantly (effect 0.78). Due to ceiling effects only a few effects on subjective general health were found, and they disappeared after 6 months. A positive effect on feelings of loneliness remained even after 6 months (p < 0.1). The most important effect of Healthy & Vital was the increase in physical activity, especially in the least active elderly (p < 0.001). Twenty-five per cent of the participants continued activities with More Exercise for Seniors, 28% were still considering this, and 19% continued at home with the exercises they had learnt. Currently, Healthy & Vital is being implemented nationally by the Local Policy for the Elderly Knowledge Centre (www.lokoud.nl).
Subject
Health
Glucose
Aging
Body mass
Clinical trial
Controlled clinical trial
Controlled study
Glucose blood level
Major clinical study
Physical activity
Randomized controlled trial
Aged
Aged, 80 and over
Attitude to Health
Blood Pressure
Body Mass Index
Cardiovascular Diseases
Community Health Services
Exercise
Female
Health Education
Health Promotion
Humans
Male
Motivation
Netherlands
Program Evaluation
To reference this document use:
http://resolver.tudelft.nl/uuid:4fa5d18c-bb55-4fdc-b8db-423816b90d6c
TNO identifier
236546
ISSN
0167-9228
Source
Tijdschrift voor Gerontologie en Geriatrie, 33 (2), 56-63
Document type
article